Computed tomography (CT) possesses limitations in visualizing certain aspects of complex fractures. While effective for identifying fracture lines and displacement in hard tissues, CT scans may not optimally delineate soft tissue injuries, ligamentous damage, or subtle articular cartilage compromise frequently associated with intricate bone breaks. The reliance on axial images, though reconstructable, can sometimes obscure complex fracture patterns compared to modalities offering direct multiplanar visualization.
The assessment of soft tissue structures surrounding fractured bone is crucial for comprehensive treatment planning and predicting functional outcomes. Missed ligamentous injuries or cartilage damage can lead to chronic instability, pain, and accelerated joint degeneration. Therefore, relying solely on CT imaging for evaluating these complex injuries might result in incomplete diagnoses and suboptimal therapeutic strategies. Historically, CT was primarily used to define bony anatomy, but the evolution of imaging techniques has highlighted the need for modalities providing more detailed soft tissue information in complex trauma cases.